Sensory Examination Flashcards
Examined in peripheral sensory examination
Spinal cord/nerve (peripheral nerve)
Tactile (touch, pain, temp)
Vibration
Position
Examined in cortical sensory examination
Somatosensory cortex discriminative senses - stereognosis - graphesthesia - 2 point discrimination
Assessment for light touch sensation
Use wisp of cotton
Abnormal finding to touch: absent sensation
Anesthesia
Abnormal finding to touch: decreased sensation
Hypoesthesia
Abnormal finding of touch: increased sensation
Hyperesthesia
Assessment for pain sensation
Test with pinprick
Abnormalities to pain: absent sensation
Analgesia
Abnormalities to pain: decreased sensation
Hypoalgesia
Abnormalities to pain: increased sensation
Hyperalgesia
Assessment for Temperature
Test tubes, hot and cold water
Tested only when pain sensation is abnormal
Temperature
Assessment for Vibration sense
Use of tuning fork (128Hz)
Dorsal column testing
Propioception
First sensation lost in peripheral neuropathy, diabetic nephropathy, and Buerger’s dse
Vibration
Lesion/disease in where: loss of vibration sense
Posterior column
Identification of an object by touch or feel
Stereognosis
Inability to recognize familiar objects by touch or feel
Astereognosis
Only one hand cannot recognize familiar objects by touch or feel
Tactile agnosia
Number/Letter identification
Graphesthesia
2pt. Discrimination: Object placed >5mm distance
Double stimuli
2pt. Discrimination: Object placed <5mm distance
Single stimulus
Sensory examination not done in children 6 years old and younger
Cortical sensory examinations
Contralateral loss of 2 pt discrimination, astereognosis, sensory inattention and agraphesthesia
Cortical sensory loss
Able to recognize all sensations but localize them poorly; parietal lobe lesions
Cortical sensory loss
Loss of 2pt. discrimination, astereognosis, agraphesthesia, sensory inattention on RIGHT side of patient’s body
LEFT Parietal brain abscess
Inability to process sensory information
Agnosia
Loss of ability to recognize a single modality (usually hearing and vision) with no significant memory loss
Agnosia
Where is the damage in Agnosia?
Occipitotemporal border
Where is the damage in Astereognosis?
Somatosensory cortex (Parietal)